I can understand, being someone that is pretty down and not very hopeful myself. I am finally seeing a psychiatrist because my neurologist is pretty much forcing me to. I’m on disability and the state keeps up with your appointments, what doctors you see or, suppose to see, and what appointments you have. So, not sure how personal you wanna get, but is she just dealing with having Chiari and headaches that are associated with Chiari? I’m sorry to say, there is not an definitive answer that will just pull her out of the darkness of hopelessness and dismay. It would help more to know what she is dealing with that is causing her to be in this position. I’ve been dealing with my Chiari for over 8 years, and am not a candidate for surgery. As time goes by, things just get worse.